{
"Npi": {
"NPI": "1760592752",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOWARD OPEN MRI CENTER LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6100 DAYLONG LN",
"SecondLineMailingAddress": "SUITE 107",
"MailingAddressCityName": "CLARKSVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21029-1626",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-531-1900",
"MailingAddressFaxNumber": "410-531-0484",
"FirstLinePracticeLocationAddress": "6100 DAYLONG LN",
"SecondLinePracticeLocationAddress": "SUITE 107",
"PracticeLocationAddressCityName": "CLARKSVILLE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21029-1626",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-531-1900",
"PracticeLocationAddressFaxNumber": "410-531-0484",
"EnumerationDate": "08/30/2006",
"LastUpdateDate": "02/16/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "SABINE",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "410-531-1900",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1200X",
"TaxonomyName": "Magnetic Resonance Imaging (MRI) Clinic/Center",
"LicenseNumber": "M197",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}